MEDICARE: TOSHKO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1851927289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOSHKO INC

Provider Business Mailing Address
First Line	:	9411 DYER ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-6407
Country	:	US
Telephone Number	:	915-400-9900
Fax Number	:	915-400-9600

Provider Business Practice Location Address
First Line	:	9411 DYER ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-6407
Country	:	US
Telephone Number	:	915-400-9900
Fax Number	:	915-400-9600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SIAMAK KIANI KEIVAN
Credential	:	RPH
Telephone Number	:	915-400-9900

Provider Enumeration Date	:	03/17/2020
Last Update Date	:	03/02/2026

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Directions to “TOSHKO INC ” Practice Location

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